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患有非言语学习障碍跨学科诊断的儿童和青少年半球间不对称的患病率。

Prevalence of inter-hemispheric asymetry in children and adolescents with interdisciplinary diagnosis of non-verbal learning disorder.

作者信息

Wajnsztejn Alessandra Bernardes Caturani, Bianco Bianca, Barbosa Caio Parente

机构信息

Faculdade de Medicina do ABC, Santo André, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2016 Oct-Dec;14(4):494-500. doi: 10.1590/S1679-45082016AO3722.

Abstract

OBJECTIVE

To describe clinical and epidemiological features of children and adolescents with interdisciplinary diagnosis of non-verbal learning disorder and to investigate the prevalence of inter-hemispheric asymmetry in this population group.

METHODS

Cross-sectional study including children and adolescents referred for interdisciplinary assessment with learning difficulty complaints, who were given an interdisciplinary diagnosis of non-verbal learning disorder. The following variables were included in the analysis: sex-related prevalence, educational system, initial presumptive diagnoses and respective prevalence, overall non-verbal learning disorder prevalence, prevalence according to school year, age range at the time of assessment, major family complaints, presence of inter-hemispheric asymmetry, arithmetic deficits, visuoconstruction impairments and major signs and symptoms of non-verbal learning disorder.

RESULTS

Out of 810 medical records analyzed, 14 were from individuals who met the diagnostic criteria for non-verbal learning disorder, including the presence of inter-hemispheric asymmetry. Of these 14 patients, 8 were male.

CONCLUSION

The high prevalence of inter-hemispheric asymmetry suggests this parameter can be used to predict or support the diagnosis of non-verbal learning disorder.

OBJETIVO

Descrever as características clínicas e epidemiológicas de crianças e adolescentes com transtorno de aprendizagem não verbal, e investigar a prevalência de assimetria inter-hemisférica neste grupo populacional.

MÉTODOS: Estudo transversal que incluiu crianças e adolescentes encaminhados para uma avaliação interdisciplinar, com queixas de dificuldades de aprendizagem e que receberam diagnóstico interdisciplinar de transtorno de aprendizagem não verbal. As variáveis avaliadas foram prevalência por sexo, sistema de ensino, hipóteses diagnósticas iniciais e respectivas prevalências, prevalência de condições em relação à amostra total, prevalência geral do transtorno de aprendizagem não verbal, prevalência de acordo com ano escolar, faixa etária no momento da avaliação, principais queixas familiares, presença assimetria inter-hemisférica, dificuldade em aritmética, alterações em visuoconstrução, e principais sinais e sintomas do transtorno de aprendizagem não verbal.

RESULTADOS

Dos 810 prontuários médicos analisados, 14 eram de indivíduos que preencheram os critérios diagnósticos para transtorno de aprendizagem não verbal, incluindo a assimetria inter-hemisférica. Destes 14 pacientes, 8 eram do sexo masculino.

CONCLUSÃO: A alta prevalência de assimetria inter-hemisférica sugere que este parâmetro possa ser usado como preditor ou reforçador para diagnóstico de transtorno de aprendizagem não verbal.

摘要

目的

描述经多学科诊断为非言语学习障碍的儿童和青少年的临床及流行病学特征,并调查该人群半球间不对称的患病率。

方法

横断面研究,纳入因学习困难主诉接受多学科评估并被多学科诊断为非言语学习障碍的儿童和青少年。分析的变量包括:按性别划分的患病率、教育系统、初始初步诊断及各自的患病率、相对于样本总量的疾病患病率、非言语学习障碍的总体患病率、按学年划分的患病率、评估时的年龄范围、主要家庭主诉、半球间不对称的存在情况、算术缺陷、视觉构建障碍以及非言语学习障碍的主要体征和症状。

结果

在分析的810份病历中,有14份来自符合非言语学习障碍诊断标准的个体,包括存在半球间不对称的个体。在这14名患者中,8名是男性。

结论

半球间不对称的高患病率表明该参数可用于预测或支持非言语学习障碍的诊断。

目的

描述患有非言语学习障碍的儿童和青少年的临床和流行病学特征,并调查该人群中半球间不对称的患病率。

方法

横断面研究,纳入被转诊进行多学科评估、有学习困难主诉并被多学科诊断为非言语学习障碍的儿童和青少年。评估的变量包括按性别划分的患病率、教育系统、初始诊断假设及各自的患病率、相对于样本总量的疾病患病率、非言语学习障碍的总体患病率、按学年划分的患病率、评估时的年龄范围、主要家庭主诉、半球间不对称的存在情况、算术困难、视觉构建方面的改变以及非言语学习障碍的主要体征和症状。

结果

在分析的810份病历中,14份来自符合非言语学习障碍诊断标准的个体,包括存在半球间不对称的个体。在这14名患者中,8名是男性。

结论

半球间不对称的高患病率表明该参数可作为非言语学习障碍诊断的预测指标或辅助依据。

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